Mz Professional Services, Inc.
Psychiatry Physician in Lauderhill, FL(View on Map)
Legal Business Name
Mz Professional Services, Inc.
NPI Number
1285932095
NPI Type
Organization
Enumeration Date
03/02/2011
Specialties
(Taxonomies)Code
2084P0800X
2084P0804X
Primary Taxonomy
Yes
No
Licenses
State
Florida
License Number
ME54504
Contact
Information
Purpose
Mailing
Location
Address
1065 NE 125TH ST
7481 W. OAKLAND PARK BLVD.
City
North Miami
Lauderhill
State
FL
FL
Postal Code
33161-5821
33319-4985
Country
US
US
Telephone Number
(888) 852-6672
(888) 852-6672
Authorized Official
Name
Sohail Punjwani
Title or Position
CEO/PRESIDENT
Telephone Number
(719) 285-5121
Identifiers
Identifier
EX561A
370943400
09837W
Identifier State
FL
FL
FL
Identifier Issuer
MEDICARE PTAN FOR GROUP MZ PROFESSIONAL SERVICES, INC.
Unknown
MEDICARE PTAN INDIVIDUAL FOR MZ PROFESSIONAL SERVICES, INC
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/11/2011